340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
J & D PHARMACY INC
DSH260175 GOLDEN VALLEY MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
GOLDEN VALLEY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260175
Entity Address
1600 NORTH SECOND
CLINTON, MO 64735-1192
Medicare Provider Number
260175
Participating Start Date
10/1/2021
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
J & D PHARMACY INC
Pharmacy Address
1330 COMMERCIAL ST
PO BOX 1599
WARSAW, MO 65355
Pharmacy Comments
Contract Details
Approval Date
8/9/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Nadler, CFO
(660) 890-7105
Contract Pharmacy Representative
J & D Pharmacy Inc
Jennifer Jelinek, Pharmacy Administrator
(604) 438-7331
Signed By Date
7/15/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session